Structured Return To Work Program

Modified Assignment Protocols

 

Initial Modified Duty Assignments:

·         4 Point contact will be initiated by the RTW Coordinator with the employee, supervisor, district liaison.

·         Initial assignments will be based on the work status report and will not extend beyond 30 days.  

 

Assignments Beyond 30 Days:

·     4 Point contact will be initiated by the RTW Coordinator with the employee, supervisor, and district liaison.

·     The criteria for extension will include:

                            1.  Measurable medical progress

                            2.  Satisfactory attendance and performance

                            3.  Scheduled physician follow-up visits at least every 7-10 days

·     Modified duty agreement extensions will be granted in weekly increments based upon the type

      of  injury and level of recovery or anticipated recovery at this stage.  Every attempt will be made

      to create assignments that transition along with the employee’s medical recovery process.

 

Assignments Beyond 60 Days:

·     Prior to consideration of an assignment beyond 60 days, the RTW Coordinator will have

      attended a medical appointment with the employee to review with the medical care provider

      and employee, the essential job functions of the employee’s position/s.

·     5 point contact will be initiated by the RTW Coordinator with the employee, supervisor, district

      liaison, JPA Executive Director and claims examiner  with an invitation to the Superintendent.

·     The criteria for extension will include

                            1.  Measurable medical progress

                            2.  Satisfactory attendance and performance

                            3.  Scheduled physician follow-up visits at least every 7-10 days

·     Modified duty extensions will be granted in weekly increments based upon the type of injury

      and level of recovery, anticipated recovery and anticipated permanent and stationary status at

      this stage.

 

Beyond 90 Days:

·     Granted only under extreme or unusual circumstances by the JPA Executive Director.

(SRTW Protocols)